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Provider Information for 1255317954

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. GERILYNN GUNSALUS OKAMOTO DDS

Gender: FEMALE

Individual NPI: 1255317954

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1255317954
Enumeration Date 2005-12-15
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 50 BELLEFONTAINE ST STE 204
PASADENA, CA 91105-3132
United States

Phone: 626-440-9095 | Fax: 626-440-9231
View Map External Link
Primary Practice Address 50 BELLEFONTAINE ST STE 204
PASADENA, CA 91105-3132
United States

Phone: 626-440-9095 | Fax: 626-440-9231
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 44621